Stigma mastery in people living with HIV: gender similarities and theory

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dc.contributor.authorNamisi, Charles P.
dc.contributor.authorMunene, John C.
dc.contributor.authorWanyenze, Rhoda K.
dc.contributor.authorKatahoire, Anne R.
dc.contributor.authorParkes-Ratanshi, Rosalinda M.
dc.contributor.authorKentutsi, Stella
dc.contributor.authorNannyonga, Maria M.
dc.contributor.authorSsentongo, Robina N.
dc.contributor.authorOgola, Mabel K.
dc.contributor.authorNabaggala, Maria S.
dc.contributor.authorAmanya, Geofrey
dc.contributor.authorKiragga, Agnes N.
dc.contributor.authorBatamwita, Richard
dc.contributor.authorTumwesigye, Nazarius M.
dc.date.accessioned2022-11-30T23:33:17Z
dc.date.available2022-11-30T23:33:17Z
dc.date.issued2022
dc.description.abstractAims This study aimed to determine the prevalence of, factors associated with, and to build a theoretical framework for understanding Internalsed HIV-related Stigma Mastery (IHSM). Methods A cross-sectional study nested within a 2014 Stigma Reduction Cohort in Uganda was used. The PLHIV Stigma Index version 2008, was used to collect data from a random sample of 666 people living with HIV (PLHIV) stratified by gender and age. SPSS24 with Amos27 softwares were used to build a sequential-mediation model. Results The majority of participants were women (65%), aged ≥ 40 years (57%). Overall, IHSM was 45.5% among PLHIV, that increased with age. Specifically, higher IHSM correlated with men and older women “masculine identities” self-disclosure of HIV-diagnosis to family, sharing experiences with peers. However, lower IHSM correlated with feminine gender, the experience of social exclusion stress, fear of future rejection, and fear of social intimacy. Thus, IHSMsocial exclusion with its negative effects and age-related cognition are integrated into a multidimensional IHSM theoretical framework with a good model-to-data fit. Conclusion Internalised HIV-related Stigma Mastery is common among men and older women. Specificially, “masculine identities” self-disclose their own HIV-positive diagnosis to their family, share experiences with peers to create good relationships for actualising or empowerment in stigma mastery. However, social exclusion exacerbates series of negative effects that finally undermine stigma mastery by young feminine identities. Thus, stigma mastery is best explained by an integrated empowerment framework, that has implications for future practice, policy, and stigma-related research that we discuss.en_US
dc.identifier.citationNamisi, C. P., Munene, J. C., Wanyenze, R. K., Katahoire, A. R., Parkes-Ratanshi, R. M., Kentutsi, S., ... & Tumwesigye, N. M. (2022). Stigma mastery in people living with HIV: gender similarities and theory. Journal of Public Health, 1-15.en_US
dc.identifier.otherhttps://doi.org/10.1007/s10389-021-01480-7
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/5600
dc.language.isoenen_US
dc.publisherJournal of Public Healthen_US
dc.subjectHIV-relateden_US
dc.subjectstigmaen_US
dc.subjectgenderen_US
dc.subjectmasteryen_US
dc.subjectsimilaritiesen_US
dc.subjecttheory-buildingen_US
dc.titleStigma mastery in people living with HIV: gender similarities and theoryen_US
dc.typeArticleen_US
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